LIVING HOPE COUNSELING CENTER, PC (NPI# 1013044478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013044478 |
Entity Type | Organization |
Organization Name | LIVING HOPE COUNSELING CENTER, PC |
Practice Address |
535 Maine St Suite 13 Quincy IL 62301-3950 |
Practice Telephone | 2172281887 |
Practice Fax Number | 2172281884 |
Mailing Telephone | 2172281887 |
Mailing Fax Number | 2172281884 |
Enumeration Date | 2007-02-27 |
Last Update Date | 2008-08-11 |
Authorized Official Name | DR. CARA RAE BAINUM (PRESIDENT & OWNER) |
Authorized Official Telephone | 2172281887 |
Authorized Official Credential | PSY.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103T00000X | Psychologist | 2006016141 | MO | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
071-006947 | IL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
INDIVIDUAL NPI # | 1427042076 | 01 | |
MO | 491638904 | 05 |
Street Address |
535 MAINE ST SUITE 13 |
City | QUINCY |
State | IL |
Zip Code | 62301-3950 |
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1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
Find all providers in zip 62301 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891344412 | Mari Donita Harness | Psychologist | 6044 Greensboro Hwy, Quincy, FL 32351-9100 | 2019-09-06 |
1497244982 | John Nicholas Petrou | Psychologist | 1 Dennis Ryan Pkwy, Quincy, MA 02169-5348 | 2018-05-09 |
1427226216 | Angela Marie Johnson | Psychologist | 1354 Hancock St Ste 315, Quincy, MA 02169-5109 | 2008-02-14 |
1396872784 | Patricia C. Packard | Psychologist | 1373 Quincy Shore Dr, Quincy, MA 02169-2336 | 2007-02-27 |
1972679710 | Paul Kimberley Ling | Psychologist | 59 Coddington St Ste 201, Quincy, MA 02169-4510 | 2006-11-24 |
1386734572 | John J Leahy | Psychologist | Nova Psychiatric Services Inc, 1261 Furnace Brook Parkway, Quincy, MA 02169 | 2006-10-16 |
1275627515 | Beverly Singer | Psychologist | One Adams Place, 859 Willard St, Suite 430, Quincy, MA 02464 | 2006-10-03 |
1013017300 | Paul Giella | Psychologist | 110 West Squantum St, Suite #21, Quincy, MA 02171 | 2006-09-25 |
1598870172 | Diana C. Direiter | Psychologist | 36 Weston Ave, Quincy, MA 02170-1833 | 2006-08-21 |
1487626123 | Pauline M. Pagliocca | Psychologist | 1266 Furnace Brook Pkwy, Suite 210, Quincy, MA 02169-4758 | 2006-02-06 |
Find all providers in QUINCY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.